DR. AZADEH E POURSAID (MD, PHD) – Obstetrics & Gynecology Physician, NPI 1104321744

DR. AZADEH E POURSAID (MD, PHD) is a healthcare provider. based in Portland, Oregon. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD, PHD. They hold a License No. 12914226-1205 (UT). The NPI Number for DR. AZADEH E POURSAID (MD, PHD) is 1104321744

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. AZADEH E POURSAID (MD, PHD)
NPI
1104321744
Phone
(503) 494-8211
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
27 March 2018
Last Update Date
14 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8012686811
Graduation Year
2018 (8 years ago)
PAC ID
7012268600
Group Practice PAC ID
4486736279
Professional Enrollment ID
I20220919001462
Address ID
UT841241269SA1140X3900301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

632 OBSTETRICS/GYNECOLOGY in OR

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Provider Addresses for DR. AZADEH E POURSAID (MD, PHD)

  • Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    PORTLAND, OR 972393098

    Phone: (503) 494-8211

    Type: Mailing

  • 1525 E 6000 S STE A

    OGDEN, UT 844057149

    Phone: (801) 337-5800

    Fax: (801) 337-5809

    Type: Mailing

  • PO BOX 198546

    ATLANTA, GA 303848546

    Phone:

    Type: Mailing

  • 1140 E 3900 S STE 400

    SALT LAKE CITY, UT 841241269

    Phone: (801) 268-6811

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $13,217.

Total Amount is formed as General ($13,217) + Research ($0) + Ownership ($0) = $13,217.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($12,740).

Total Amount

$13,217

General + Research + Ownership

Payments

27

Total payment records

General Amount

$13,217

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220919001462IObstetrics/GynecologyUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97239)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486736279View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Certified Nurse Midwife (Cnm)UT
Certified Nurse Midwife (Cnm)UT
-UT
O B S T E T R I C S/ G Y N E C O L O G YUT
Certified Nurse Midwife (Cnm)UT
Certified Nurse Midwife (Cnm)UT
-UT
O B S T E T R I C S/ G Y N E C O L O G YUT

Reviews

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Frequently asked questions

Can I use this page to confirm DR. AZADEH E POURSAID (MD, PHD)'s NPI?
Yes. DR. AZADEH E POURSAID (MD, PHD) is listed with NPI 1104321744 in the public NPI dataset.
Is DR. AZADEH E POURSAID (MD, PHD) listed as active for patients and plans?
The listing shows DR. AZADEH E POURSAID (MD, PHD) as active in the NPI system.
What healthcare role does DR. AZADEH E POURSAID (MD, PHD) hold?
Scheduling teams often label DR. AZADEH E POURSAID (MD, PHD) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. AZADEH E POURSAID (MD, PHD) on a map?
Expect Portland, Oregon as a primary anchor for DR. AZADEH E POURSAID (MD, PHD) unless the record lists multiple sites.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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